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ANQUANETTE JACKSON
NPI 1679087282
Counselor in South Daytona, FL

Active since November 20, 2017
2400 S RIDGEWOOD AVE, SOUTH DAYTONA, FL 32119(305) 928-0167 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 20, 2017 (2 updates tracked since 2017).

About Anquanette Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANQUANETTE JACKSON (NPI 1679087282) is an individual counselor in South Daytona, Florida and active in the NPI registry since November 2017. She maintains a secondary practice location in Deltona.

NPPES Registry Identity

NPI1679087282
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameANQUANETTE JACKSON
Location Address2400 S RIDGEWOOD AVESouth Daytona, FL 32119-3097
Mailing Address579 Lagorce TerDeltona, FL 32738-8973
Phone(305) 928-0167
Sole ProprietorNo
Enumeration DateNovember 20, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1679087282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2400 S RIDGEWOOD AVE, South Daytona, FL 32119
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Secondary Practice Location 1

Location 1579 Lagorce TerDeltona, FL 32738-8973 · Phone (305) 928-0167

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHILDREN'S HOME SOCIETY OF FLORIDA
Case Management
2400 S RIDGEWOOD AVE, SUITE 32
SOUTH DAYTONA, FL 32119
Volusia County (386) 304-7600
MR. MARCUS ZACHARIAH FOLKES MS
Counselor (Mental Health)
2400 S RIDGEWOOD AVE, SUITE 32
SOUTH DAYTONA, FL 32119
Volusia County (386) 304-7600
GAY NIBERT
Counselor (Mental Health)
2400 S RIDGEWOOD AVE, SUITE 32
SOUTH DAYTONA, FL 32119
Volusia County (386) 304-7600
NATALIE SHERIDAN LMHC
Counselor (Mental Health)
2400 S RIDGEWOOD AVE
SOUTH DAYTONA, FL 32119
Volusia County (386) 295-9406
MRS. TAMERIA B VICKERS
Counselor
2400 S RIDGEWOOD AVE
SOUTH DAYTONA, FL 32119
Volusia County (386) 304-7600
KEVIN DAVISSON CORK RPH
Pharmacist
2400 S RIDGEWOOD AVE
SOUTH DAYTONA, FL 32119
Volusia County (386) 756-4077
MRS. BETTY JEAN GUNTER RPH
Pharmacist
2400 S RIDGEWOOD AVE
SOUTH DAYTONA, FL 32119
Volusia County (386) 756-0477
CHANDREA WILLIAMS
Counselor
2400 S RIDGEWOOD AVE
SOUTH DAYTONA, FL 32119
Volusia County (386) 304-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anquanette Jackson's NPI number?

The NPI number for Anquanette Jackson is 1679087282. It was assigned to this individual provider in the NPPES registry on November 20, 2017.

Where is Anquanette Jackson located?

Anquanette Jackson practices at 2400 S Ridgewood Ave, South Daytona, FL 32119. The listed phone number is (305) 928-0167.

What is Anquanette Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Anquanette Jackson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.